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Contact Information

OZARKS DERMATOLOGY SPECIALISTS, LLC
3808 S. GREYSTONE CT.
SPRINGFIELD, MO65804
 Phone: 417-889-3332
 Fax: 417-881-1410
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for OZARKS DERMATOLOGY SPECIALISTS, LLC

NPI Number 1073811345
LBN Legal business name OZARKS DERMATOLOGY SPECIALISTS, LLC
Authorized official CRAIG NAUGLE - (PHYSICIAN/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/10/2011
Last updated 03/10/2011 - About 15 years ago
Identifiers
MO License # 2002004006
MO License # 2007005538
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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